Healthcare Provider Details

I. General information

NPI: 1164417853
Provider Name (Legal Business Name): VOLUNTEER FIRE DEPARTMENT OF NEW FAIRFIELD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2005
Last Update Date: 09/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 BALL POND RD
NEW FAIRFIELD CT
06812-4625
US

IV. Provider business mailing address

269 MAIN ST
CROMWELL CT
06416-2302
US

V. Phone/Fax

Practice location:
  • Phone: 203-925-0380
  • Fax:
Mailing address:
  • Phone: 860-638-1800
  • Fax: 860-638-1802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JEAN FLYNN
Title or Position: DIRECTOR OF FINANCES
Credential:
Phone: 203-746-4025